FFICM Safety and Infection Control 2

Question 1

Which catheter-related bloodstream infection (CRBSI) prevention bundle element has the strongest evidence?

Accepted Answer

Maximal sterile barrier precautions during insertion

Answer

Maximal sterile barrier precautions (cap, mask, gown, gloves, full drape) during central line insertion is a core evidence-based bundle element reducing CRBSI.

Question 2

A patient develops fever on day 5 post-intubation. Ventilator-associated pneumonia (VAP) is suspected. Which criterion is required for VAP diagnosis?

Accepted Answer

New or progressive radiographic infiltrate plus clinical signs of infection

Answer

VAP diagnosis requires new or progressive pulmonary infiltrate on imaging combined with at least two of: fever, leukocytosis, and purulent secretions.

Question 3

In a patient with a suspected healthcare-associated infection (HAI), what is the preferred specimen timing for blood cultures?

Accepted Answer

Immediately before initiating empirical antibiotics

Answer

Blood cultures should be drawn before antibiotics are given to maximize yield and avoid false-negative results.

Question 4

Which isolation precaution is required for a patient colonized with carbapenem-resistant Enterobacteriaceae (CRE)?

Accepted Answer

Contact precautions

Answer

CRE is transmitted via direct or indirect contact, so contact precautions (gloves and gown) are required.

Question 5

What is the primary benefit of chlorhexidine gluconate (CHG) daily bathing in ICU patients?

Accepted Answer

Reduces healthcare-associated bloodstream infections

Answer

Daily CHG bathing reduces skin bacterial burden and is associated with decreased rates of central line-associated bloodstream infections (CLABSIs).

(FFICM) Final Faculty of Intensive Care Medicine Practice Test

(FFICM) Final Faculty of Intensive Care Medicine Practice Test

FFICM Safety and Infection Control 2